Fresenius Medical Care AG (FMS) Return on Capital Employed (2009 - 2025)
Fresenius Medical Care AG (FMS) posted Return on Capital Employed of 12.19% for Q4 2025, up 23.09% on a QoQ basis from 9.9% in Q3 2025, and up 304.0% year-over-year from 3.02% in Q4 2024.
Fresenius Medical Care AG (FMS) has 17 years of Return on Capital Employed data on file, last reported at 12.19% in Q4 2025.
- In Q4 2025, Return on Capital Employed rose 304.0% year-over-year to 12.19%; the TTM figure through Dec 2025 stood at 12.19% (up 304.0% YoY), while the FY2025 annual figure was 7.41%, up 247.0% from the prior year.
- Return on Capital Employed advanced to 12.19% in Q4 2025, from 9.9% in the prior quarter.
- Across five years, Return on Capital Employed topped out at 42.03% in Q1 2021 and bottomed at 8.03% in Q4 2023.
- A 5-year average of 14.97% and a median of 10.15% in 2022 frame the typical range for Return on Capital Employed.
- Annual changes were most pronounced in 2024 — Return on Capital Employed sank 1376 bps — and 2025, when it jumped 304 bps.
- Year by year, Return on Capital Employed stood at 32.52% in 2021, then sank by 33 bps to 21.68% in 2022, then slumped by 63 bps to 8.03% in 2023, then increased by 14 bps to 9.15% in 2024, then soared by 33 bps to 12.19% in 2025.
- The last three Return on Capital Employed figures came in at 12.19% (Q4 2025), 9.9% (Q3 2025), and 9.91% (Q2 2025), per Business Quant data.
Peer Comparison
| # | Company | Market Cap | Enterprise Value | Gross Profit (Qtr) | ROCE (Qtr) |
|---|---|---|---|---|---|
| 1 | HCA Healthcare | 84.64 Bn | 87.02 Bn | 16.26 Bn | -18.08% |
| 2 | Tenet Healthcare | 15.22 Bn | 14.39 Bn | 4.41 Bn | 15.90% |
| 3 | Davita | 13.10 Bn | 13.96 Bn | 1.07 Bn | 14.27% |
| 4 | Encompass Health | 10.50 Bn | 11.12 Bn | 1.34 Bn | -2.33% |
| 5 | Ensign | 9.69 Bn | 9.09 Bn | 293.37 Mn | 9.57% |
| 6 | Universal Health Services | 8.92 Bn | 8.88 Bn | 3.21 Bn | 16.52% |
| 7 | Fresenius Medical Care AG | 7.31 Bn | 4.93 Bn | 22,843.10 Bn | 12.19% |
| 8 | Chemed | 5.83 Bn | 5.81 Bn | 215.76 Mn | 26.99% |
| 9 | Pacs | 5.76 Bn | 5.51 Bn | 345.96 Mn | 8.38% |
| 10 | Option Care Health | 3.27 Bn | 3.09 Bn | 262.01 Mn | 12.32% |
Historic Data
Download Data| Date | Value |
|---|---|
| Dec 31, 2025 | 12.19% |
| Sep 30, 2025 | 9.90% |
| Jun 30, 2025 | 9.91% |
| Mar 31, 2025 | 9.52% |
| Dec 31, 2024 | 9.15% |
| Sep 30, 2024 | 9.13% |
| Jun 30, 2024 | 8.36% |
| Mar 31, 2024 | 8.23% |
| Dec 31, 2023 | 8.03% |
| Sep 30, 2023 | 8.21% |
| Jun 30, 2023 | 8.70% |
| Mar 31, 2023 | 21.98% |
| Dec 31, 2022 | 21.68% |
| Sep 30, 2022 | 10.40% |
| Jun 30, 2022 | 11.05% |
| Mar 31, 2022 | 29.26% |
| Dec 31, 2021 | 32.52% |
| Sep 30, 2021 | 14.29% |
| Jun 30, 2021 | 14.77% |
| Mar 31, 2021 | 42.02% |
| Dec 31, 2020 | 39.53% |
| Sep 30, 2020 | 15.33% |
| Jun 30, 2020 | 15.68% |
| Mar 31, 2020 | 46.46% |
| Dec 31, 2019 | 40.68% |
| Sep 30, 2019 | 18.88% |
| Jun 30, 2019 | 18.69% |
| Mar 31, 2019 | 25.45% |
| Dec 31, 2018 | 28.03% |
| Sep 30, 2018 | 24.91% |
| Jun 30, 2018 | 0.04% |
| Mar 31, 2018 | 0.03% |
| Dec 31, 2017 | 21.81% |
| Sep 30, 2017 | 13.21% |
| Jun 30, 2017 | 12.98% |
| Mar 31, 2017 | 15.28% |
| Dec 31, 2016 | 14.88% |
| Sep 30, 2016 | -23.32% |
| Jun 30, 2016 | -12.31% |
| Mar 31, 2016 | -35.41% |
| Dec 31, 2015 | 46.71% |
| Sep 30, 2015 | -18.05% |
| Jun 30, 2015 | 204.88% |
| Mar 31, 2015 | 2.72% |
| Dec 31, 2014 | 2.53% |
| Sep 30, 2014 | 11.32% |
| Jun 30, 2014 | 11.05% |
| Mar 31, 2014 | 11.23% |
| Dec 31, 2013 | 11.78% |
| Sep 30, 2013 | 2.57% |
| Jun 30, 2013 | 8.46% |
| Mar 31, 2013 | 8.72% |
| Dec 31, 2012 | 8.76% |
| Sep 30, 2012 | 9.59% |
| Jun 30, 2012 | 4.02% |
| Mar 31, 2012 | 3.79% |
| Dec 31, 2011 | 3.42% |
| Sep 30, 2011 | 3.80% |
| Jun 30, 2011 | 3.67% |
| Dec 31, 2010 | 6.83% |
| Sep 30, 2010 | 18.28% |
| Mar 31, 2010 | 15.08% |
| Dec 31, 2009 | 13.35% |
| Jun 30, 2009 | 13.57% |